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MARCEL RENE ESTOPINAL MD
NPI 1851324149
Ophthalmology in Nashville, TN

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
87.16/100
CMS Quality Rating
397 WALLACE ROAD, C310 NASHVILLE EYE ASSOCIATES PC, NASHVILLE, TN 37211(615) 834-8310(615) 834-5242 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcel Rene Estopinal Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARCEL RENE ESTOPINAL MD (NPI 1851324149) is an individual ophthalmology provider in Nashville, Tennessee, licensed in Tennessee (MD023603) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1986).

NPPES Registry Identity

NPI1851324149
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMARCEL RENE ESTOPINALCredential: MD
Location Address397 WALLACE ROAD, C310 NASHVILLE EYE ASSOCIATES PCNashville, TN 37211
Mailing Address397 Wallace Road, C310Nashville, TN 37211 · (615) 834-8310 · Fax (615) 834-5242
Phone(615) 834-8310
Fax(615) 834-5242
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1986
Enumeration DateJuly 9, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1851324149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in TN · MD023603
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
397 WALLACE ROAD, Nashville, TN 37211
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Other Identifiers 3

Medicare UPINB64793
Medicare ID-Type Unspecified3067957TN
Medicaid3702958TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcel Rene Estopinal Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072613108
PECOS Enrollment IDI20110322000755
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
567 services459 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
187 services143 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
123 services99 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
100 services96 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
74 services73 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
63 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.38
Improvement Activities40
Cost87.35

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTER FOR SPINE JOINT AND NEUROMUSCULAR REHAB PC
Physical Medicine & Rehabilitation (Pain Medicine)
397 WALLACE ROAD, BLDG. C, SUITE 206
NASHVILLE, TN 37211
Davidson County (615) 872-9966
CARDIOLOGY GROUP OF MIDDLE TENNESSEE
Internal Medicine (Interventional Cardiology)
397 WALLACE ROAD, SUITE 216
NASHVILLE, TN 37211
Davidson County (615) 832-8731
ROBERT CRAIG RIPLEY M.D.
Internal Medicine (Cardiovascular Disease)
397 WALLACE ROAD, SUITE 216
NASHVILLE, TN 37211
Davidson County (615) 832-8731
DARRELL JAMES WILLIAMS MD
Ophthalmology
397 WALLACE ROAD, C310
NASHVILLE, TN 37211
Davidson County (615) 834-8310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marcel Estopinal's NPI number?

The NPI number for Marcel Estopinal is 1851324149. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Marcel Estopinal located?

Marcel Estopinal practices at 397 Wallace Road C310 Nashville Eye Associates PC, Nashville, TN 37211. The listed phone number is (615) 834-8310.

What is Marcel Estopinal's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marcel Estopinal enrolled in Medicare?

Yes. Marcel Estopinal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marcel Estopinal accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Marcel Estopinal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcel Estopinal was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.